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The ED Watch

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Reviews

Every review, in one place

Start with the named product. Read its formula, offer, evidence limits and availability, then explore medication and service background.

Named products · Source dates shown in each review

A separate review for each product.

Ingredients, price and supply details, research limits, availability and follow-up questions for each product. These are public-document reviews, with no firsthand product testing or medical-review sign-off.

CoreAge Rx 4Play

The existing review covers its compounded formula, advertised offer and evidence limits.

Read the 4Play review →

Ro

Hims

BlueChew

BlueChew · Compounded sublingual tablet

BlueChew GOLD

Sildenafil + tadalafil + apomorphine + oxytocin

Public price examples differ; confirm the selected offer

Public product listing; individual eligibility and current prescription require confirmation

Read this product review: BlueChew GOLD →
BlueChew · Compounded oral formulation; confirm administration

BlueChew SIL

Sildenafil; listed 30 mg or 45 mg options

Article examples: about $30–$135/month

Provider notice: existing enrolled customers only; confirm account eligibility

Read this product review: BlueChew SIL →
BlueChew · Compounded oral formulation; confirm administration

BlueChew TAD

Tadalafil; listed 6 mg or 9 mg options

Article examples: about $30–$135/month

Provider notice: existing enrolled customers only; confirm account eligibility

Read this product review: BlueChew TAD →

Rugiet

Nu Image Medical

Xialla

Xialla · Anchored silicone constriction ring

Xialla Kit

Reusable mechanical device with single-use adhesive pads; no drug ingredients

$50 kit advertised; additional single-use pads sold separately

Public direct-purchase listing; check fit, suitability, destination, and current terms

Read this product review: Xialla Kit →

Advertising disclosure: We may earn a commission if you buy through links on this page. Commissions never influence our ratings, rankings, or what we recommend — our scoring criteria are published and applied identically to partners and non-partners. How we make money.

Medications

Prescription treatments

Scored on effectiveness, onset, duration, cost, and side effect profile.

Side-by-side table
9.0out of 10

Tadalafil

CialisGeneric available

The long one — up to 36 hours, or a daily dose that ends the clock-watching

Onset
30–60 minutes, occasionally up to 2 hours
Lasts
Up to 36 hours
8.4out of 10

Sildenafil citrate

ViagraGeneric available

The default first try — cheap, predictable, heavily studied

Onset
30–60 minutes
Lasts
4–6 hours
Unscored

Avanafil

StendraGeneric available

An approved ED medicine with strength-specific timing instructions

Onset
100/200 mg: about 15 minutes; 50 mg: about 30 minutes in labeling
Lasts
About 6 hours
7.2out of 10

Vardenafil

LevitraGeneric available

A close cousin of sildenafil, now mostly a second choice

Onset
30–60 minutes
Lasts
4–8 hours
6.8out of 10

Alprostadil

Caverject / MUSEGeneric available

The second-line option that works when pills don't

Onset
5–20 minutes
Lasts
30–60 minutes
5.0out of 10

Udenafil, mirodenafil, lodenafil

Zydena, Mvix, Helleva

Real drugs, real evidence, and no legal way to get them here

Onset
Udenafil peaks in about 1–1.5 hours; the others are broadly comparable to sildenafil
Lasts
Udenafil remains effective up to around 24 hours; mirodenafil and lodenafil are shorter
3.0out of 10

Yohimbine hydrochloride

YoconGeneric available

What men were prescribed before Viagra — and why they stopped

Onset
Not an on-demand drug — taken on a standing schedule
Lasts
Short half-life, hence the three-times-daily dosing

Treatments

Non-drug treatments

Scored on effectiveness, ease of use, cost, side effects, and the quality of the evidence behind them.

7.7out of 10

Trimix and Bimix injections

Injection therapyWorks when pills don'tCompounded — not FDA-approved

The most effective ED treatment there is, and the one nobody advertises

Cost
Often $50–$150 per vial, which typically yields many doses — commonly a few dollars per use
7.6out of 10

Penile implants

SurgeryHighest satisfaction ratesIrreversible

The end of the road, and the treatment people are gladdest they had

Cost
Frequently covered by insurance once conservative treatment has failed; tens of thousands of dollars without coverage
7.4out of 10

Vacuum erection devices

Vacuum pumpNo drug interactionsNo prescription required

Unglamorous, drug-free, and it works when the pills don't

Cost
Roughly $100–$500 for a medical-grade device, as a one-time purchase
6.6out of 10

Constriction rings and wearable ED devices

Wearable deviceNo prescription neededSafe with nitrates

The cheapest thing that works, if your problem is holding an erection rather than getting one

Cost
Purpose-built devices run roughly $100–$200; Eddie is priced around $188 for a four-month cycle
Unscored

Eroxon (MED3000) topical gel

OTC topical gelOTC topical deviceNo prescription needed

An OTC ED gel: what MED3000 contains, how it is used, and what reviews can tell you

Cost
Retailer-dependent price per box; divide by the number of single-use tubes
5.4out of 10

Testosterone replacement therapy

Hormone therapyOnly for confirmed low testosteroneSuppresses fertility

Real medicine for a real condition — and the wrong answer for most people who ask about it

Cost
Generic injections are inexpensive; gels, pellets, and oral forms cost substantially more, plus ongoing lab monitoring
Unscored

Shockwave therapy (Li-ESWT)

Clinic procedureMixed evidenceCheck the exact device

Focused shockwaves, radial waves, and home devices need different evidence

Cost
Clinic-specific course pricing; obtain a written total including any proposed maintenance
4.0out of 10

PT-141 (bremelanotide)

PeptideNot approved for menActs on desire, not blood flow

An approved drug — for women. Sold to men by clinics that do not always mention that

Cost
Varies widely; wellness-clinic peptide programmes are typically expensive and cash-pay
2.1out of 10

Herbal and OTC “male enhancement” supplements

OTC supplementNot recommendedFrequently adulterated

The only category here where the products that work are the ones breaking the law

Cost
Commonly $30–$80 a month, frequently more than FDA-approved generic sildenafil costs
Unscored

Pelvic floor physical therapy

Physical therapyNo medication requiredLimited evidence

A supervised rehabilitation option with promising, limited ED evidence

Cost
Clinic-specific evaluation and follow-up fees; request an estimate and check insurance
Unscored

Sex therapy and counseling for ED

Psychological therapyCan accompany medical careNo medication required

Support for the anxiety, stress, and relationship side of erection difficulties

Cost
Therapist-specific session fees or insurance cost-sharing; request a written estimate

Providers

Telehealth services and pharmacies

Scored on signup, price transparency, clinician access, value, and how easy they are to leave.

9.0out of 10

CoreAge Rx (4PLAY)

One sublingual dose, four ingredients, ten minutes — the most ambitious formulation in the category

Best for People who want fast onset and long duration from a single dose, and who prefer a sublingual to swallowing a tablet.

Unscored

SuperHealthy Rx

A current-source review of SuperHealthy Rx ED care: the prescription route and the person responsible for follow-up, billing questions and evidence limits.

Best for Readers comparing a clinician-reviewed sildenafil or tadalafil tablet route

Unscored

PlushCare

A video appointment and a pharmacy prescription, with separate membership fees

Best for People who prefer a video consultation and want to choose their dispensing pharmacy.

Unscored

RedBox Rx

Free ED consultations, with quantity discounts and automatic refills to check

Best for People comparing cash-pay generic tablets who want consultation and dispensing through one service.

7.4out of 10

Hims

The best-known brand, with the marketing budget to match

Best for People who want the smoothest end-to-end experience, or a less common drug like avanafil.

7.0out of 10

Ro

A broader telehealth practice that happens to treat ED

Best for People who want ED treated as part of broader health care rather than as a standalone product.

4.0out of 10

BlueChew

Chewable compounded tablets on a subscription

Best for People who specifically need a chewable format, and who stick to the single-ingredient options rather than the combination products.

Unscored

Lemonaid Health

A separately advertised consultation fee and medication price

Best for Readers comparing an online assessment and delivery service with a clearly separated advertised consultation charge

8.4out of 10

Cost Plus Drugs

Not a telehealth service — a transparent pharmacy for a script you already have

Best for Anyone who already has a prescription and wants the lowest transparent cash price.

Unscored

Sesame Care

A video-visit marketplace with separate pharmacy fulfillment

Best for Readers who want to choose a listed video appointment and compare pharmacy fulfillment separately

8.3out of 10

GoodRx

Not a pharmacy, not a prescriber — just the discount that beats most subscriptions

Best for Anyone who already has a prescription and wants the lowest local cash price without mail order.

7.9out of 10

Amazon Pharmacy

A real licensed pharmacy with Prime pricing attached

Best for Prime members who already have a prescription and want it filled cheaply without a separate account somewhere new.

7.2out of 10

Rex MD

A conventional subscription service that has stayed out of the compounding race

Best for People who want a straightforward subscription for approved generics without being upsold a proprietary blend.